Active NPI
Universal Wellness Source of Omaha LLC
- Chiropractor
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- UNIVERSAL WELLNESS SOURCE OF OMAHA LLC
- Practice address
- 5331 S 204TH Ave Ste 2
Elkhorn, NE 68022-4385 - Phone
- (531) 867-3720
- NPI assigned
- Aug 3, 2020
- Last updated
- Apr 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kaylynne Gasiorowski, DC
- Title
- Owner
- Phone
- (402) 578-5133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
5331 S 204TH Ave Ste 2
Elkhorn, NE 68022-4385
Mailing address
5501 S 208TH Cir
Elkhorn, NE 68022-3138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5331 S 204th Ave
Ste 2
Elkhorn, NE 68022
Phone (531) 867-3720
2517 S 174th Plz
Omaha, NE 68130
Phone (402) 330-2225
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Elkhorn, NE
- NPI 1558457747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1760092969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 S 208TH CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 S 204TH AVE STE 2",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224385",
"telephone_number": "531-867-3720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL WELLNESS SOURCE OF OMAHA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-03",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "GASIOROWSKI",
"authorized_official_first_name": "KAYLYNNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-578-5133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.